摘要
目的 探讨缺血性心肌病 (ICM)的临床特征。方法 对诊断ICM 2 2例患者的临床资料进行回顾性分析。结果 大多数患者是老年人 ,有心绞痛、心肌梗死病史 ;心脏扩大 ,各种心律失常和充血性心力衰竭为主要临床表现 ;超声心动图呈现左心室扩大 ,室壁节段性运动异常 ,左心室射血分数减少 (<5 0 % ) ;选择性冠状动脉造影显示 1支或多支血管病变 ,血管狭窄平均 >75 % ,甚至完全闭塞。结论 该病多发生在老年人 :以心脏扩大、充血性心力衰竭为特征 ,酷似扩张型心肌病。
Objectives To explore clinical feature of ischemic cardiomyopathy. Methods Analysis of clinical material was performed in 22 cases with ischemic cardiomyopathy. Results Most patents were the senile people. All Patients had a history of angina pectoris or myocardial infarction. The main clinical manifestations were heart dilation, various kinds of cardioarrhythmia and heart failure, UCG revealed left ventricle dilation, segmental abnormaility, of ventricular wall motion and dediming in left ventricular ejection fraction(<50%). Coronary angiographies demonstrate 1 vessel or more than 1 vessel diseases, coronary stenosis>75%, even complete occlusion. Conclusions This illness usually occurs in the senile people. The clinical characteristics were heart dilation and congestive heart failure and similar to dilated cardiomyopathy. Coronary angiogxaphy is a reliable method for its differential diagnosis.
出处
《岭南心血管病杂志》
2003年第3期198-199,共2页
South China Journal of Cardiovascular Diseases
